Guthery, Phillip Michael

Guthery, Phillip Michael is an individual health care provider with primary practice located at 100 7Th St Sw Ste B , Cullman AL 35055-4265. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Pharmacy Service Providers / Pharmacist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Guthery, Phillip Michael can be contacted via phone (256) 775-3937.

Contact Information

Primary practice address
100 7Th St Sw Ste B Cullman AL 35055-4265
Phone: (256) 775-3937
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X S791 TA327 Alabama
Pharmacy Service Providers / Pharmacist 183500000X 11485 Alabama

Profile Details

NPI number 1023001278
LBN Legal business name Guthery, Phillip Michael
Credentials O.D., RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Feb 27th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023001278 NPPES
Alabama MEDICAID 000047115

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